Methods of Cranial Vault Reconstruction for Craniosynostosis

Early Open Extensive Suturectomy for the Severe Multisuture Synostosis

“…Other challenges include the potential for hydrocephalus, presence of Chiari malformation, and abnormal venous drainage. Without surgery, many children do not survive beyond infancy, and those that do have significant neurologic sequelae 1 …”

“…The first description of a surgical technique for a syndromic multisuture skull was by Angle in 1967 who performed cranial morcellation (angle) 2 . A range of techniques has since been published by way of case reports or series, including simple suturectomy, parasagittal suturectomy, springs, distraction osteogenesis, and near-total calvariectomy 1,3–10 . There is no evidence base for timing of surgery and the literature ranges from a few days old to 1 year 7 …”